
<div id="templatemo_content_right">
  
  
                             <div style="float:left;width:100%;height:445px;" >
                             <img width="100%" height="40%" src="images/buy.png">
							
                             <form name="MyForm" action="Request.php" method="post" >
                             <font face="vendra" size="3" color="#680036" method="post">

                             <table cellspacing="10" width="100%">
							 <tr >
							 <td colspan="3"><h1> Please Fill all the fields to BUy Order</h1></td>
                             </tr>
                             <tr>
							 <td style="color:red;">*</td><td>Name</td> <td><input type="text" name="name"/></td>
                             </tr>
							 <tr>
                             <td style="color:red;">*</td><td>ID</td> <td><input type="text" name="ID"/></td>
                             </tr>
                             <tr>
                             <td style="color:red;">*</td><td>Quantity</td><td><input type="number" name="Quantity"/> </td>
                             </tr>

                             <tr>
                             <td style="color:red;">*</td><td>Destination</td><td><input type="Destination" name="Destination"/> </td>
                             </tr>


                             <tr>

                             <td colspan="3" align="center">
							 <br/>
							 <center> <font size="4"> <div class="buy_now_button"><input type="submit"  value="BUY" /></font></div></center>
							 &nbsp;
							
							 </tr></table>
                             </form>
							 
							         </div> <!-- end of content right -->